Medical credentialing is an essential process for evaluatinga healthcare professional's qualifications, competency, and practice history.
To become eligible for reimbursement from commercial payers and government programs (such as Medicare and Medicaid), each provider must complete the process of application, submission, and verification of documentation before receiving committee approval. Although this may seem like a relatively simple and straightforward process, credentialing staff must also factor in their own organization’s specific credentialing criteria along with its unique guidelines, processes, and standards of approval.
With all of this complexity, creating a streamlined credentialing process to protect your organization and ensure that your staff is properly certified becomes a necessity. A weak or inefficient credentialing process can cause serious problems for your organization. If errors occur, or credentialing lapses, you may face discontinuation of provider services, accreditation issues, or risk of malpractice.
Choosing an appropriate credentialing software can save you time, money, and resources – and help you organize, process, and effectively track all of this information for ongoing review and accreditation.
If you want to modernize your credentialing department, it’s important to scale to your growing organization, automate your manual processes, and create departmental transparency. By selecting and implementing a web-based credentialing solution, you'll lighten the load carried by your administrative staff, allowing them to devote their time, energy, and attention to more immediate, high-priority tasks.
At symplr, we aim to simplify your credentialing. We offer complete credentialing solutions, including robust credentialing, privileging, and provider enrollment software, designed to meet the unique needs of your organization, whether a small practice or a multi-entity health system. We stay up to date on issues surrounding legal compliance, industry trends, and regulatory changes – so you can focus your attention on serving patients.
Looking for more information on how to streamline your credentialing process? Download our webcast, “Credentialing, Recredentialing and Privileging Basics”, and learn how you can design and implement a streamlined credentialing and privileging process.
This is an update of our previous blog post, "8 Reasons to Modernize and Streamline Credentialing."